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1710314091
LESLIE A PROVARD
CHAMBERSBURG, PA
NPI
1710314091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
-- LESLIE A PROVARD MA
1331 S 7TH ST
CHAMBERSBURG, PA 17201-4850
Phone number: 717-262-2940
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Mailing Address
-- LESLIE A PROVARD MA
1114 TALLOW HILL RD
CHAMBERSBURG, PA 17202-7653
Phone number: 717-552-3494
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